Quotes By Paul Farmer

At the same time, it is obvious that clinicians in Haiti are faced with different, and, in fact, greater, challenges when attempting to treat complications of HIV disease.

If you look just at the decades after 1934, you know it's hard to point to really inspired and positive support from outside of Haiti, to Haiti, and much easier to point to either small-minded or downright mean-spirited policies.

Haiti is always talking about decentralization and nothing has been so obvious, perhaps a weakness, as the centralized nature of Haitian society as being revealed by the earthquake. I mean, they lost all these medical training programs because they didn't have them anywhere else.

But as for activism, my parents did what they could, given the constraints, but were never involved in the causes I think of when I think of activists.

We've taken on the major health problems of the poorest - tuberculosis, maternal mortality, AIDS, malaria - in four countries. We've scored some victories in the sense that we've cured or treated thousands and changed the discourse about what is possible.

In fact, it seems to me that making strategic alliances across national borders in order to treat HIV among the world's poor is one of the last great hopes of solidarity across a widening divide.

I critique market-based medicine not because I haven't seen its heights but because I've seen its depths.

The idea that because you're born in Haiti you could die having a child. The idea that because you're born in you know Malawi your children may go to bed hungry. We want to take some of the chance out of that.

I mean, everybody should have access to medical care. And, you know, it shouldn't be such a big deal.

You can't have public health without a public health system. We just don't want to be part of a mindless competition for resources. We want to build back capacity in the system.

Since I do not believe that there should be different recommendations for people living in the Bronx and people living in Manhattan, I am uncomfortable making different recommendations for my patients in Boston and in Haiti.

Some people talk about Haiti as being the graveyard of development projects.

I can't think of a better model for Haiti rebuilding than Rwanda.

I'm not an austere person.

So I can't show you how, exactly, health care is a basic human right. But what I can argue is that no one should have to die of a disease that is treatable.

I think we will see better vaccines within the next 15 years, but I'm not a scientist and am focused on the short-term - what will happen in the interim.

I would say that, intellectually, Catholicism had no more impact on me than did social theory.

I'm one of six kids, and the eight of us lived for over a decade in either a bus or a boat.

I think that looking forward it's easy to imagine more constructive help for Haiti.

It is clear that the pharmaceutical industry is not, by any stretch of the imagination, doing enough to ensure that the poor have access to adequate medical care.

The biggest public health challenge is rebuilding health systems. In other words, if you look at cholera or maternal mortality or tuberculosis in Haiti, they're major problems in Haiti, but the biggest problem is rebuilding systems.

I recommend the same therapies for all humans with HIV. There is no reason to believe that physiologic responses to therapy will vary across lines of class, culture, race or nationality.

The only way to do the human rights thing is to do the right thing medically.

Again, conventional Catholicism does not much appeal to me.

But if you're asking my opinion, I would argue that a social justice approach should be central to medicine and utilized to be central to public health. This could be very simple: the well should take care of the sick.

The poorest parts of the world are by and large the places in which one can best view the worst of medicine and not because doctors in these countries have different ideas about what constitutes modern medicine. It's the system and its limitations that are to blame.

For me, an area of moral clarity is: you're in front of someone who's suffering and you have the tools at your disposal to alleviate that suffering or even eradicate it, and you act.

I've been impressed, over the last 15 years, with how often the somewhat conspiratorial comments of Haitian villagers have been proven to be correct when the historical record is probed carefully.

I mean we grew up in a TB bus and I became a TB doctor.

Civil and political rights are critical, but not often the real problem for the destitute sick. My patients in Haiti can now vote but they can't get medical care or clean water.